Deficiency Records for Eastgate Village Retirement Center
Updated as of March 01, 2018
This is not the most recent data for Eastgate Village Retirement Center. For the most recent information, click here.
A list of the most recent deficiencies for Eastgate Village Retirement Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Address subsistence needs for staff and patients. | Fire Safety | 2018-01-09 | 2018-02-20 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-01-09 | 2018-02-20 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-01-09 | 2018-02-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-01-09 | 2018-02-20 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2018-01-09 | 2018-02-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-01-11 | 2018-02-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-01-11 | 2018-02-20 | N |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2017-08-22 | 2017-10-23 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-08-22 | 2017-10-23 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-08-22 | 2017-10-23 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2016-11-09 | 2016-12-10 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-11-09 | 2016-12-10 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-11-09 | 2016-12-10 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2015-09-24 | 2015-10-31 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2015-09-24 | 2015-10-31 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-09-24 | 2015-10-31 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2015-09-24 | 2015-10-31 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-09-24 | 2015-10-31 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-09-24 | 2015-10-31 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-09-24 | 2015-10-31 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-09-24 | 2015-10-31 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2015-09-24 | 2015-10-31 | N |
| Provide housekeeping and maintenance services. | Health | 2015-09-24 | 2015-10-09 | N |
| Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2015-09-22 | 2015-10-06 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2015-09-24 | 2015-10-06 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-09-22 | 2015-09-25 | N |
